Virginia Post Office Complaint Form
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1
2Virginia Bureau of Financial Institutions
Mailing Address:
Telephone: (804) 371-9657
Post Office Box 640
Fax: (804) 371-9416
Richmond, VA 23218-0640
Web:
Physical Address:
1300 East Main Street, Suite 800, Richmond, VA 23219
PRINT OR TYPE all information in INK only.
Keep a copy for your records.
Return the completed form to the Bureau of Financial Institutions at the address shown above.
PLEASE READ CAREFULLY. We are best able to assist you with your complaint if you do the following:
Answer all questions in their entirety, giving full name, titles, addresses and phone numbers. A summary of the facts
surrounding the complaint and a statement of the desired resolution is necessary. Your signature is required for the
Bureau to process your complaint.
Attach copies of any letters, documents, contracts or receipts pertinent to your complaint. (PLEASE DO NOT SEND
ORIGINALS). Mail or fax your complaint to the address indicated on the complaint form.
Because of the complexity of some complaints, delays in processing do occur. We will make every effort to respond
expeditiously to your complaint.
Our authority is limited to those entities and individuals who are, or are required to be, chartered, licensed,
registered, or otherwise subject to regulation or supervision by the State Corporation Commission.
Name of Company
Today’s Date
Company Address
City, State, Zip Code
Name of person(s) you dealt with
Telephone No.
(
)
-
Your Full Name
Daytime Telephone No.
(
)
-
Your Address
City, State, Zip Code
Is your complaint currently the subject of pending
Have you consulted legal
Account/Loan No.
litigation?
Yes
No
counsel?
Yes
No
Type of complaint:
Checking Account
Credit Card
Payday Loan
Consumer Loan
Mortgage Loan
Motor Vehicle Title Loan
Other
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